Jeanette Hall, LPCC-S, LICDC-CS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.0701109 Issued in OH

Practice address

610 Walnut St
Coshocton, OH 43812-1655

Phone

(740) 622-0033

NPI assigned

Apr 25, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coshocton County Drug and Alcohol Council, Inc.Group PAC ID 3577000983, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coshocton County Drug & Alcohol Council, Inc

  • Community/Behavioral Health Agency
  • Coshocton, OH
  • NPI 1114987138

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD Authorized official
• Coshocton County Drug & Alcohol Council, Inc

  • Mental Health Counselor
  • Coshocton, OH
  • NPI 1801451455
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1386099653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WALNUT ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121655",
            "telephone_number": "740-622-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WALNUT ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121655",
            "telephone_number": "740-622-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JEANETTE",
        "credential": "LPCC-S, LICDC-CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "ICDC061030",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0701109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert B Gwinn, DO
• Ahmed A Habib, MD
• Aimee Louise Hagans
• Lane Hale
• Jasmine Kay Hall
• William Bruce Hall, INDEPEND CARE GIVER
• Jeffrey Asher Hamilton, D.O.
• Joyce Marie Hamilton
• Tayna Hammond, LDO
• Tammie Hanna, FNP

• Professional Counselor in Coshocton, OH
• Providers in Coshocton, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.